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HomeMy WebLinkAbout11-0179Form 668 (Y)(c) (Rev. February 20041 Department of the Treasury -Internal Revenue Service Notice of Federal Tax Lien Area: Serial Number For Optional Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #2 Lien Unit Phone: (800) 829-3903 735850710 ~~~ ~ ~ / ! / 7 As provided by section 6321, 6322, and 6323 of the Internal Revenue Code, we are giving a notice that taxes (including interest and penalties) ~ Y,, , `.:" have been assessed against the following-named taxpayer. We have made , . ..... ,~ a demand for payment of this liability, but it remains unpaid. Therefore, ~"~~ ~ =~--n there is a lien in favor of the United States on ail property and rights to , ~ ~ ~~' property belonging to this taxpayer for the amount of these taxes, and ~,r ..._ additional penalties, interest, and costs that may accrue. -~ © -; ~ Name of Taxpayer JAY H BRANDY rv ~=''" c.~. ~ ~-y -; Residence 44 BRANDY LN ~ `~ ~ ~-=~ ,_' NEWVILLE, PA 17241-8655 IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless notice of the Lien is refiled by the date given in column (e), this notice shall, /~ •~~ rGl - on the day following such date, operate as a certificate of release as defined in IRC 63251 ) ~ ~ a 53 ~ a . 3 Tax Period Date of Last Dayy for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of Assessment (a) (b) (c) (d) (e) (f) CIVP 12/31/2005 XXX-XX-6441 03/03/2008 04/02/2018 55423.72 CIVP 06/30/2008 XXX-XX-6441 10/19/2009 11/18/2019 40490.12 CIVP 09/30/2008 XXX-XX-6441 10/19/2009 11/18/2019 43420.78 CIVP 12/31/2008 XXX-XX-6441 10/19/2009 11/18/2019 44910.06 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total ~$ 184244.68 This notice was prepared and signed at DETROIT, MI the 23rd day of December _20.10 on this, Signature ~ ~ Title ACS 22-00-0001 for FRED BANKS (800) 829-3903 (N07E: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Part 1 -Kept By Recording Office Form 668(Y)(c) 4Rev. 2-2004) CAT. NO 60025X